Provider Demographics
NPI:1427291483
Name:THORACIC & VASCULAR SURGICAL SPECIALISTS OF CENTRAL CT LLC
Entity type:Organization
Organization Name:THORACIC & VASCULAR SURGICAL SPECIALISTS OF CENTRAL CT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:V
Authorized Official - Last Name:CURIALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-440-4881
Mailing Address - Street 1:546 S BROAD ST
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-6600
Mailing Address - Country:US
Mailing Address - Phone:203-440-4881
Mailing Address - Fax:203-440-4882
Practice Address - Street 1:546 S BROAD ST
Practice Address - Street 2:SUITE 2E
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-6600
Practice Address - Country:US
Practice Address - Phone:203-440-4881
Practice Address - Fax:203-440-4882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT044011208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty